Healthcare Provider Details

I. General information

NPI: 1902970544
Provider Name (Legal Business Name): ESTHER COMPHER ONEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ESTHER MARIE COMPHER PA-C

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S CENTER ST CATOCTIN MEDICAL GROUP
THURMONT MD
21788
US

IV. Provider business mailing address

100 S CENTER ST CATOCTIN MEDICAL GROUP
THURMONT MD
21788
US

V. Phone/Fax

Practice location:
  • Phone: 301-271-4333
  • Fax: 301-271-7486
Mailing address:
  • Phone: 301-271-4333
  • Fax: 301-271-7486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA001495L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0004181
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: